New Member Enrollment Form

NOTE: After this form is submitted you will be redirected through our liability waiver, policies document and media release. Please complete all sections of the enrollment process and log out of the Members Area before leaving the workstation.Participants First Name: Participants Last Name: Add to mailing list: Address1: Address2: City: State: Zip: Email: Confirm Email: Password: Confirm password: Cell Phone: Home Phone: Work Phone: BirthDate (YYYYMMDD) (Important for proper class placement, please enter a birthdate)

What classes might your family be interested in:

Emergency Contact Information:First Name: Last Name: Cell Phone: Home Phone: Work Phone: Relation: First Name 2: Last Name 2: Cell Phone 2: Home Phone 2: Work Phone 2: Relation:

NOTE: After this form is submitted you will be redirected through our liability waiver, policies document and media release. Please complete all sections of the enrollment process and log out of the Members Area before leaving the workstation.